NPI 1225840069 · live from the CMS NPI Registry
Ace Wound Care LLC
Nurse Practitioner, Primary Care in St Petersburg, FL. National Provider Identifier 1225840069, active.
NPI record
| NPI | 1225840069 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 2026 5th Ave N, St Petersburg, FL 33713 |
| Practice phone | 941-281-5756 |
| Enumerated | January 20, 2025 |
| Last updated | January 20, 2025 |
| Authorized official | Eric Roberts, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — |
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.